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What is Active Treatment? It is the consistent, aggressive, continuous, and accountable application of (habilitative) interventions by caregivers of persons with developmental disabilities
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Active Treatment& Quality Enhancement
Ann Seisa, R.N.
Agenda
What is Active Treatment?
Who, when, and how is it provided?
How do you know when Active Treatment is taking place and when its not?
What is Quality Enhancement?
- What is the Principle of Universal Enhancement?
What is Active Treatment?
•It is the consistent, aggressive, continuous, and accountable application of (habilitative) interventions by caregivers of persons with developmental disabilities
What is Active Treatment?
•It is founded on the principle that each individual is capable of continued change and can benefit from participation in individually designed programs.
What is Active Treatment?
•Programs are carried out in structured & unstructured settings and are focused in improving each person’s developmental progress throughout his or her life.
Active Treatment
All people who support persons with disabilities should provide Active Treatment
It is the means by which we help our clients “get a life”
You must know your client as an INDIVIDUAL – his or her likes, dislikes, and preferences
Quality Enhancement
It is raising the value in achieving excellence.
Quality Enhancement
VALUE OF LIFE QUALITYVALUE OF LIFE QUALITY –
Characteristics of a person’s life that include those things that the person feels are most important, like good friends, good health, and a safe and comfortable place to go to or to live in.
Focus on the Individual
What is important to the individual?
What will increase his/her quality of life?
1. Enjoy a safe, comfortable environment and exercise greater control of his/her environment & his/her daily experiences.
2. Be and stay healthy with the least amount of medication to appropriately manage health conditions.
3. Learn ways of expressing & communicating their wants & needs – without being self-injurious or disruptive.
4. Choose and participate in hobbies, leisure interests, social & recreational activities that they enjoy.
5. Look their best on daily basis, and be as self-sufficient and independent as possible in completing their activities of daily living.
6. Be good neighbors and citizens with valuable contributions to make in the community.
When does Active Treatment take place?
Who is critical to providing Active Treatment?
STAFF Day-long
interaction Must work together
as a team Are among the first
to notice changes in the client
ADMINISTRATOR Pulls the Inter-
Disciplinary Team (IDT) together
Trains the staff Supports the staff
Importance of DSP Staff •They are a critical component of the support team.
• They are able to negotiate, counsel, and provide positive support training to clients explaining the responsibilities, consequences and options to these individuals.
Importance of DSP Staff •They act in a professional, positive and friendly manner at all times.
• High expectations are expected of them and will hold them accountable for meeting those expectations.
How do you implement Active Treatment?
Start with RESPECT Show how to complete a task Link with interests Focus on what the client CAN do Motivate Behavior is a form of communication - always
work on increasing client’s ability to express self Remember choices
Principle of Universal Enhancement
Getting a life for people and coaching them into it to improve the quality of their life.
Universal Enhancement
What are ways to support people: Listen and hear our voice – we’ve got a lot to
say. Treat us like you want to be treated - with
respect and dignity. Ask us how we feel about stuff. Take time to explain things if we don’t
understand something. Put yourself in our shoes – walk our walk. Be good to yourself – we want you to be
healthy and energized.
Universal Enhancement
When engaging with a client, keep the noise level to the minimum and your voice down (at conversation level).
Gain their permission before holding their hands. Holding hands without permission encourages dependence.
Encourage the person to hold your arm instead. Do not tow.
Do not talk about people in front of others. Encourage the individuals to participate in
household chores, in all routines.
How do you know when Active Treatment is taking place?
INCREASED SKILLS!
Self Help•Can brush own hair
•Pulls up his pants
•Uses the toilet when need arises
Behavior•Communicates wants or needs verbally or gesturally
•Makes choices
Social/Recreational•Goes to watch a movie with his favorite actor in the cast
Independent Living•Makes her own snacks
•Cleans her bedroom
•Washes her clothes
Indicators that Active Treatmentis NOT taking place Lack of client
progress No activities in sight Behaviors Clients pacing Staff in one area and
clients in another
Clients have no energy
Staff are bored Clients told what to do Maid/butler service TV with no interaction
Active Treatment – It’s an ATTITUDE!We are teachers and mentors,
not caretakersFocus on abilities, not disabilitiesOptions and choices for everyoneIt’s not our job to say “No” but to show a
better waySelf-esteem and independence go hand in
hand
Active Treatment – It’s an ATTITUDE!Maximize positive contactsDon’t take it personally – break the chainThe best prompts are non-verbal and
subtleThe best training environments are naturalRemember to reinforce desired/positive
behavior
Active Treatment – It’s an ATTITUDE!Staff make it happenWatch body proximity (e.g. don’t stand
over the person)Watch body language (open hands, don’t
cross arms, etc.)Power struggles mean you loseRESPECT ourselves, each other, and the
people we serve
“Excellence can be attained if you…
Care more than others think is wise…
Risk more than others think is safe…
Dream more than others think is practical…
Expect more than others think is possible.”
Questions
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